purpose: to identify the postoperative surgical outcomes and the changes in deviation in patients treated by bilateral medial rectus (bmr) recession for small to large angle esotropia with a minimum follow-up of two years methods: in this retrospective and consecutive case series, we reviewed medical records of 130 patients who had recession surgery for correction of esotropia between 2001-2011...

purpose: to compare bilateral medial rectus advancement (bmra) and bilateral lateral rectus recession (blrr) for treatment of consecutive exotropia in terms of final alignment. method: this randomized clinical trial was performed on 14 patients with consecutive exotropia. inclusion criteria included history of bilateral medial rectus recession, exotropia ³20 pd and far-near difference <10 pd. e...

Purpose: Consecutive exotropia is a frequent consequence of surgery for convergent strabismus that may develop at differing rates postoperatively. Several surgical options on horizontal recti have been proposed, but none report a clearly standardized amount of surgery. The present study provides further results of the medial rectus muscle advancement. Methods: Twenty-eight patients, age ranged ...

PURPOSE To investigate the effect of unilateral medial rectus muscle resection for recurrent exotropia after bilateral lateral rectus muscle recession for intermittent exotropia METHODS A retrospective analysis was made of thirtypatients who underwent unilateral medial rectus resection for recurrent exotropia. All had prior bilateral lateral rectus recession for intermittent exotropia. Data w...

Forty-six children awaiting surgery for concomitant esotropia were placed into two matched groups. One group received bilateral medial rectus recessions, while the second group received augmented bilateral medial rectus recessions. By recession the conjunctiva and subconjunctival tissue in addition to the medial rectus we consistently increased the correction obtained. With bilateral medial rec...

BACKGROUND Duane retraction syndrome (DRS) consists of abduction deficit, globe retraction and upshoots or downshoots with adduction. The abducens nerve on the affected side is absent in type 1 DRS. After bilateral medial rectus muscle recession in unilateral type 1 DRS may improve the abduction limitation, but still more than -3 limitation remains. CASE PRESENTATION A 6-month-old boy present...

Purpose To present the results of bilateral superior rectus transposition with medial rectus recession in a case of chronic bilateral sixth nerve palsy. Observation Bilateral superior rectus transposition with medial rectus recession resulted in full correction of esotropia with resolution of horizontal diplopia, improvement in abduction, and regain of stereoacuity in our case. There was mini...

To the Editors: Ocular motility problems related to congenital abnormalities of the extraocular muscles are rare. Such congenital abnormalities may present in a spectrum from accessory additional rectus muscles to the absence of extraocular muscles.1-5 Absence of one or more extraocular muscles is a rare condition usually seen in association with craniofacial syndromes. We present a case of bil...

PURPOSE To compare bilateral medial rectus advancement (BMRA) and bilateral lateral rectus recession (BLRR) for the treatment of consecutive exotropia. METHODS This randomized clinical trial was performed on 14 patients with consecutive exotropia. Inclusion criteria were history of bilateral medial rectus recession, exotropia ≥20 PD with far-near discrepancy <10 PD. Exclusion criteria consist...

OBJECTIVE To evaluate the success rate of surgical corrections of constant and intermittent exotropias. STUDY DESIGN A case series. PLACE AND DURATION OF STUDY Al-Ibrahim Eye Hospital, Karachi, from July 2011 to December 2012. METHODOLOGY Patients having primary exotropia (deviation 15 - 45 prism diopters [PD]) were included. Patients with either constant exotropia or basic intermittent e...